Healthcare Provider Details

I. General information

NPI: 1134394075
Provider Name (Legal Business Name): VICTOR BENJAMIN KLAUSNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E DESERT INN RD
LAS VEGAS NV
89169-3211
US

IV. Provider business mailing address

1900 E DESERT INN RD
LAS VEGAS NV
89169-3211
US

V. Phone/Fax

Practice location:
  • Phone: 702-333-2390
  • Fax: 702-333-4620
Mailing address:
  • Phone: 702-333-2390
  • Fax: 702-333-2493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number960
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: